Not always but they do and can, just a thunk...
53 TSX out of a 223 on a lope. (not a 30 cal/200 I get it but..)
Dober
I beleive that you recovered that bullet from a dead critter
A hole through the vitails does wonders
I've recovered some very nasty-looking, parasite damaged lungs from moose, which died because of a different parasite......one holding a 30-30 Winchester.
As you will recall, I've also had monos "pencil in" without penciling through. Shooting a large game animal more than once has never been a bad thing IME. (I don't sweat which bullet got the job done first.)